Vladislav Melnichenko, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP21140 Issued in CA

Practice address

1711 W Katella Ave
Anaheim, CA 92804-6450

Phone

(714) 400-2959

NPI assigned

Aug 25, 2011

Last updated

Mar 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Modern Foot and Ankle PCGroup PAC ID 9830622448, 2 clinicians

Sun Medical Group IncGroup PAC ID 8426388810, 19 clinicians

Healthier Lifestyle Medical Group IncGroup PAC ID 1355742453, 6 clinicians

Agoura Hills Urgentocare PCGroup PAC ID 3476981226, 13 clinicians

Firstchoice Clinic IncGroup PAC ID 1456893031, 2 clinicians

First Aid Urgent Care IncGroup PAC ID 6709106453, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Firstchoice Clinic Inc.

  • Internal Medicine Physician
  • Canoga Park, CA
  • NPI 1912610775
  Medicare reassignment Care Compare group NPD
• Healthier Lifestyle Medical Group Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Glendale, CA
  • NPI 1902421480
  Medicare reassignment Care Compare group NPD
• Sun Medical Group, Inc

  dba AFC Ladera RAnch

  • Urgent Care Clinic/Center
  • Ladera Ranch, CA
  • NPI 1114588704
  Medicare reassignment Care Compare group NPD
• Agoura Hills Urgentocare PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Agoura Hills, CA
  • NPI 1043840465
  Medicare reassignment Care Compare group
• First Aid Urgent Care Inc

  • Urgent Care Clinic/Center
  • Tujunga, CA
  • NPI 1760889190
  Medicare reassignment Care Compare group
• Modern Foot and Ankle PC

  • Foot & Ankle Surgery Podiatrist
  • Santa Clarita, CA
  • NPI 1063269454
  Medicare reassignment Care Compare group
• Alp Medical Services PC

  • Family Medicine Physician
  • Irvine, CA
  • NPI 1518854629
  Medicare reassignment NPD
• HLMG Pain Management, Inc.

  • Clinic/Center
  • Glendale, CA
  • NPI 1336014539
  Medicare reassignment NPD
• Crystal Surgical Center

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1720949597
  NPD
• Daled MD Group Inc

  • Neurology Physician
  • North Hollywood, CA
  • NPI 1023894003
  NPD
• Propitious Care Hospice Inc

  dba Grandchester Hospice

  • Community Based Hospice Care Agency
  • Downey, CA
  • NPI 1518573955
  NPD
• Sun Medical Group, Inc.

  dba AFC Urgent Care Anaheim

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1114673902
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1528348273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27219 COYOTE BUSH CT",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913812117",
            "telephone_number": "323-740-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046450",
            "telephone_number": "714-400-2959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27522 Antonio Pkwy Ste P3",
            "address_purpose": "LOCATION",
            "city": "Ladera Ranch",
            "state": "CA",
            "postal_code": "926942166",
            "country_code": "US",
            "telephone_number": "949-207-3786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7018 Owensmouth Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Canoga Park",
            "state": "CA",
            "postal_code": "913034239",
            "country_code": "US",
            "telephone_number": "747-755-5072",
            "fax_number": "747-755-5073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELNICHENKO",
        "first_name": "VLADISLAV",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-25",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP21140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHERN MCAR PIN",
            "identifier": "HE356A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinh DO DDS LLC
• Melissa Huy, PH.D., Inc.
• Melissa Illario, Licensed Clinical Social Worker PC (Future Self Counseling)
• Melissa R Manalo MD Inc
• Victoria Mellgren, PPS
• Melprotere Inc. (dba Amethyst Care Homes)
• Robert Joseph Melton, CST
• Inaaya Imran Memon
• Memorialcare Medical Group, Inc. (MemorialCare Medical Group - Anaheim)
• Jillian Mempin

• Adult Health Nurse Practitioner in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.